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BENIGN ASEPTIC MENINGITIS DUE TO LEPTOSPIRA GRIPPOTYPHOSA: Second Report of Clinical Infection in the United States

BENIGN ASEPTIC MENINGITIS DUE TO LEPTOSPIRA GRIPPOTYPHOSA: Second Report of Clinical Infection in... Abstract THE SEVERAL pathogenic leptospira produce in man a group of closely related diseases. These infections have received considerable attention in Europe for many years. In the United States, leptospirosis has been identified almost exclusively with that due to Leptospira icterohaemorrhagiae (leptospiral jaundice, Weil's disease). It is becoming more obvious that other leptospiral disease is present. Several dozen cases of infection with Leptospira canicola (canicola fever),1 several instances of infection with Leptospira pomona (swineherd's disease),2 and an outbreak of disease attributed to Leptospira autumnalis (pretibial fever, Fort Bragg fever, autumnal fever)3 have been noted in this country. In November, 1952, Spain and Howard4 reported the first case of leptospirosis due to Leptospira grippotyphosa (mud fever) in the United States. Their patient had an icteric febrile illness. We are reporting a patient with an anicteric course marked by a benign aseptic meningitis. This is the second instance, to our knowledge, of leptospirosis References 1. Haunz, E. A., and Cardy, J. D.: Canicola Fever: Report of Nine Cases in One Family, with Abstract of the World Literature , A. M. A. Arch. Int. Med. 89:978 ( (June) ) 1952.Crossref 2. Schaeffer, M.: Leptospiral Meningitis: Investigation of a Water-Borne Epidemic Due to L. Pomona , J. Clin. Invest. 30:670 ( (June) ) 1951. 3. Coffey, J. H.; Dravin, I., and Dine, W. C.: Swineherd's Disease (Aseptic Meningitis) Due to Leptospira Pomona , J. A. M. A. 147:949 ( (Nov. 3) ) 1951.Crossref 4. Beeson, P. B.; Hankey, D. D., and Cooper, C. F., Jr.: Leptospiral Iridocyclitis: Evidence of Human Infection with Leptospira Pomona in the United States , J. A. M. A. 145:229 ( (Jan. 27) ) 1951.Crossref 5. Gochenour, W. S., Jr., and others: Leptospiral Etiology of Fort Bragg Fever , Pub. Health Rep. 67:811 ( (Aug.) ) 1952.Crossref 6. Spain, R. S., and Howard, G. T.: Leptospirosis Due to Leptospira Grippotyphosa: First Report of Occurrence in United States , J. A. M. A. 150:1010 ( (Nov. 8) ) 1952.Crossref 7. Yager, R. H.: Personal communication to the author. 8. Wilson, G. S., and Miles, A. A.: in Topley, W. W. C., and Wilson, G. S.: Topley and Wilson's Principles of Bacteriology and Immunity , Ed. 3, Baltimore, Williams & Wilkins Company, 1946, pp. 1836-1837. 9. Buckland, F. E., and Stuart, R. D.: Mud Fever (Leptospirosis) in the British Army in France , Lancet 2:331 ( (Sept. 15) ) 1945.Crossref 10. Leptospirosis in Man and Animals. Editorial , J. A. M. A. 150:1406 ( (Dec. 6) ) 1952.Crossref 11. Davenport, L. R.: Swineherd's Disease, Weekly Report, Division of Preventive Medicine , Illinois Department of Public Health, Aug. 16, 1952. 12. Sacks, M. S.: The Problem of Leptospirosis , Ann. Int. Med. 33:481 ( (Aug.) ) 1950.Crossref 13. Beeson, P. B., and Hankey, D D.: Leptospiral Meningitis , A. M. A. Arch. Int. Med. 89:575 ( (April) ) 1952.Crossref 14. Schuman, L. M.: Personal communication to the author. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Internal Medicine American Medical Association

BENIGN ASEPTIC MENINGITIS DUE TO LEPTOSPIRA GRIPPOTYPHOSA: Second Report of Clinical Infection in the United States

A.M.A. Archives of Internal Medicine , Volume 92 (4) – Oct 1, 1953

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Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved.
ISSN
0888-2479
DOI
10.1001/archinte.1953.00240220135016
Publisher site
See Article on Publisher Site

Abstract

Abstract THE SEVERAL pathogenic leptospira produce in man a group of closely related diseases. These infections have received considerable attention in Europe for many years. In the United States, leptospirosis has been identified almost exclusively with that due to Leptospira icterohaemorrhagiae (leptospiral jaundice, Weil's disease). It is becoming more obvious that other leptospiral disease is present. Several dozen cases of infection with Leptospira canicola (canicola fever),1 several instances of infection with Leptospira pomona (swineherd's disease),2 and an outbreak of disease attributed to Leptospira autumnalis (pretibial fever, Fort Bragg fever, autumnal fever)3 have been noted in this country. In November, 1952, Spain and Howard4 reported the first case of leptospirosis due to Leptospira grippotyphosa (mud fever) in the United States. Their patient had an icteric febrile illness. We are reporting a patient with an anicteric course marked by a benign aseptic meningitis. This is the second instance, to our knowledge, of leptospirosis References 1. Haunz, E. A., and Cardy, J. D.: Canicola Fever: Report of Nine Cases in One Family, with Abstract of the World Literature , A. M. A. Arch. Int. Med. 89:978 ( (June) ) 1952.Crossref 2. Schaeffer, M.: Leptospiral Meningitis: Investigation of a Water-Borne Epidemic Due to L. Pomona , J. Clin. Invest. 30:670 ( (June) ) 1951. 3. Coffey, J. H.; Dravin, I., and Dine, W. C.: Swineherd's Disease (Aseptic Meningitis) Due to Leptospira Pomona , J. A. M. A. 147:949 ( (Nov. 3) ) 1951.Crossref 4. Beeson, P. B.; Hankey, D. D., and Cooper, C. F., Jr.: Leptospiral Iridocyclitis: Evidence of Human Infection with Leptospira Pomona in the United States , J. A. M. A. 145:229 ( (Jan. 27) ) 1951.Crossref 5. Gochenour, W. S., Jr., and others: Leptospiral Etiology of Fort Bragg Fever , Pub. Health Rep. 67:811 ( (Aug.) ) 1952.Crossref 6. Spain, R. S., and Howard, G. T.: Leptospirosis Due to Leptospira Grippotyphosa: First Report of Occurrence in United States , J. A. M. A. 150:1010 ( (Nov. 8) ) 1952.Crossref 7. Yager, R. H.: Personal communication to the author. 8. Wilson, G. S., and Miles, A. A.: in Topley, W. W. C., and Wilson, G. S.: Topley and Wilson's Principles of Bacteriology and Immunity , Ed. 3, Baltimore, Williams & Wilkins Company, 1946, pp. 1836-1837. 9. Buckland, F. E., and Stuart, R. D.: Mud Fever (Leptospirosis) in the British Army in France , Lancet 2:331 ( (Sept. 15) ) 1945.Crossref 10. Leptospirosis in Man and Animals. Editorial , J. A. M. A. 150:1406 ( (Dec. 6) ) 1952.Crossref 11. Davenport, L. R.: Swineherd's Disease, Weekly Report, Division of Preventive Medicine , Illinois Department of Public Health, Aug. 16, 1952. 12. Sacks, M. S.: The Problem of Leptospirosis , Ann. Int. Med. 33:481 ( (Aug.) ) 1950.Crossref 13. Beeson, P. B., and Hankey, D D.: Leptospiral Meningitis , A. M. A. Arch. Int. Med. 89:575 ( (April) ) 1952.Crossref 14. Schuman, L. M.: Personal communication to the author.

Journal

A.M.A. Archives of Internal MedicineAmerican Medical Association

Published: Oct 1, 1953

References